He aha te pūngāwerewere kōpū kua pūwhea wāhi?

Ko te putea kōkōnga he pūnaha iti, rite te āhua ki te pīni, kei raro i te ate. He mea nui rawa atu ki te whakahaere kai, nā te mea nui e rongoa ana, e whakapahu ana i te wai kōkōnga i hangaia e te ate. Ko te wai kōkōnga he wai whakahaere kai e āwhina ana ki te wawahi i ngā ngako mai i te kai, he mea nui ki te whakahaere kai me te tango i ngā kai. I te wā e kai ana koe, ka pēhi te putea kōkōnga ki te tuku i te wai kōkōnga ki roto i te whekau iti, ā, āwhina ai ki te whakahaere kai.

I te taha o te tinana, e toru ngā wāhanga matua o te putea kōkōnga: te pūtake, te tinana, me te kaki. Kei ia wāhanga tōna mahi i te rongoa me te tuku i te wai kōkōnga. Mā te whakahaere i te rere o te wai kōkōnga, ka whakarite te putea kōkōnga kia pai te mahi o te pūnaha whakahaere kai.

Ka puta he putea kōkōnga kua whakakiia noa i te wā e pupuri ana i te nui o te wai kōkōnga, kāore rānei e taea te whakaheke tika. Ka taea te whakaatu i tēnei e ngā take maha, pēnei i te pūngāwerewere, ngā ārai, ngā raruraru rānei ki te nekehanga. He mea nui kia mārama koe ki tēnei, nā te mea he rerekē i te putea kōkōnga kua whakakiia, ka taea te whakaatu i ngā tohu me ngā raruraru nui ake. He mea nui te mōhio ki te mahi o te putea kōkōnga me te tikanga o te āhua kua whakakiia noa mō te tangata e hiahia ana ki te hauora o te pūnaha whakahaere kai

Te Mārama ki te Pūtea Kōkōnga Kua Whāitihia

Ko te pūtea kōkōnga kua whāitihia e pā ana ki tētahi āhuatanga kei reira te nui ake o te putea kōkōnga, engari kāore i te whakakiia katoa. Ka whakaatu pinei tēnei i tētahi take ki te kaha o te putea kōkōnga ki te whakaheke, ki te mahi tika rānei.

Ngā Take

Ka taea te whakaatu i te putea kōkōnga kua whāitihia e ngā take maha:

• Te Arai Biliary: Ka taea e ngā ārai pēnei i ngā kōhatu kōkōnga, ngā mate pukupuku, ngā ārai rānei te whakaatu i te kore e taea te whakaheke o te putea kōkōnga, ā, ka arahi ki te whāiti.

• Te Pūngāwerewere Mau: Ko ngā āhuatanga pēnei i te cholecystitis mau, kei reira te pūngāwerewere roa o te putea kōkōnga, ka taea te arahi ki te tohu me te kore mahi, ā, ka puta he whāiti.

• Te Kore Mahi o te Pūtea Kōkōnga: I etahi wā, kāore pea e taea e te putea kōkōnga te whakaiti tika, nā te kore mahi, ā, ka ārai i te tuku katoa o te wai kōkōnga, ā, ka puta he whāiti.

Ngā Tohu me te Taumata

Kāwai	Ngā Taipitopito
Ngā Tohu	Te mamae o te kopu: Ko te nuinga e kitea ana i te taha matau o runga o te kopu, ka kino ake i muri i te kai i ngā kai ngako. Te ruaki: he mea noa i muri i ngā kai, nā te raruraru o te whakahaere kai. Te pupū: He āhua ki te whakakiia, ki te kore ngāwari rānei, ina koa i muri i te kai.
Te Taumata	Ultrasound: Ko te tikanga whakaahua tino noa, e whakamahia ana ki te kimi i te whāiti o te putea kōkōnga, ngā kōhatu, me ngā āhuatanga rere o te wai kōkōnga. Ka whakarato te CT scan i te whakaahua taipitopito hei aromatawai i te rahi o te putea kōkōnga, ngā āhuatanga o te hanganga, ngā kiko hurihuri rānei. MRI: Te whakaahua teitei, e whakamahia ana mō ngā take uaua ake, ki te tirotiro rānei i ngā ngongo wai kōkōnga me te mahi o te putea kōkōnga. HIDA Scan: He whakamātautau rongoā pūngāwerewere e whakamahia ana ki te aromatawai i te mahi o te putea kōkōnga me te kimi i ngā ārai, ngā rere o te wai kōkōnga rānei.

Ngā Maimoatanga me ngā Rautaki Whakahaere

Ko te whakahaere i te pūtea kōkōnga kua whāitihia e whakawhirinaki ana ki te take taketake, te kaha, me ngā tohu. Ko ngā rautaki maimoatanga e hoahoa ana ki te whakaora i ngā tohu, ki te whakaoti i te take taketake, me te ārai i ngā raruraru atu.

1. Te Whakahaere Hauora

I ngā take kei reira ngā tohu ngawari, kei te pūngāwerewere rānei, ko te whakahaere hauora te tikanga tuatahi. Ko ngā rongoā anti-inflammatory me ngā kai whakaora mamae e tohua ana ki te whakaiti i te kore ngāwari me te whakahaere i te pupū, te mamae rānei i roto i te putea kōkōnga. I ngā take kei reira te biliary colic (te mamae nā te ārai o te rere o te wai kōkōnga), ka taea te whakamahi i ngā rongoā e whakatairanga ana i te rere o te wai kōkōnga, ki te whakaiti rānei i ngā whakaiti o te putea kōkōnga.

2. Te Tango i ngā Kōhatu Kōkōnga

Mēnā ko ngā kōhatu kōkōnga te take o te whāiti, ka uru pea te maimoatanga ki te tango i ngā kōhatu. Ka taea tēnei mā ngā tikanga kore-whakaeke pēnei i te extracorporeal shock wave lithotripsy (ESWL), e whakamahi ana i ngā ngaru pēhi ki te wawahi i ngā kōhatu ki ngā wāhanga iti ake. Ko tētahi atu kōwhiringa ko te endoscopic retrograde cholangiopancreatography (ERCP), e uru ana ki te tango i ngā kōhatu mā te endoscope e whakauruhia ana ki te ngongo wai kōkōnga.

3. Te Tātaritanga: Cholecystectomy

Mēnā kua kino rawa te putea kōkōnga, kei te mau tonu rānei ngā tohu ahakoa ngā maimoatanga atu, ka taea te tūtohutia te cholecystectomy, te tango pokanga o te putea kōkōnga. He mea noa tēnei ina kei reira ngā kōhatu kōkōnga, te pūngāwerewere mau rānei, nā te tango i te putea kōkōnga ka taea te ārai i ngā raruraru o muri. Ka taea te mahi i te tukanga mā te laparoscopically, he iti te whakaeke, mā te pokanga tuwhera rānei i ngā take uaua ake.

4. Ngā Huringa Kai

Ko te whakahaere i te putea kōkōnga kua whāitihia ka uru pea ki ngā huringa kai. Ka taea e te kai iti ngako te whakaiti i te kaha ki te putea kōkōnga, te whakaiti i ngā tohu pēnei i te ruaki me te mamae. Ko te karo i ngā kai nui me te kai i ngā kai iti ake, he maha ake ngā kai ka taea te whakapai ake i te whakahaere kai me te ārai i te whakakiia o te putea kōkōnga. Mō te hunga he kōhatu kōkōnga rānei ngā take morearea mō te mate putea kōkōnga, ko te noho makuku me te whakanui ake i te kai muka ka pai pea.

5. Te Tirotiro me te Aroturuki

I etahi wā, ka ngawari pea te whāiti, kāore pea e hiahiatia he whakauru tika. Ka tūtohu pea ngā haerenga aroturuki me ngā whakamātautau whakaahua ki te tirotiro i te āhuatanga me te ārai i ngā raruraru. Mēnā ka puta mai he huringa i ngā tohu, ka taea te tango i te whakauru hauora atu i te wa tika.

Te Whakarapopoto

Ka taea te whakahaere i te pūtea kōkōnga kua whāitihia mā ngā maimoatanga maha e whakawhirinaki ana ki te take taketake. Ko te whakahaere hauora e uru ana ki te whakaora mamae me ngā rongoā anti-inflammatory. Mēnā kei reira ngā kōhatu kōkōnga, ka taea te whakamahi i ngā tikanga kore-whakaeke, ngā tukanga pēnei i te ERCP rānei mō te tango. I ngā take kino, ka whakaarohia te cholecystectomy (te tango i te putea kōkōnga).

Ka taea hoki e ngā huringa kai, pēnei i te kai iti ngako me ngā kai iti ake, he maha ake ngā kai, te whakaora i ngā tohu. Ka tūtohu pea te tirotiro auau i ngā take ngawari kia kore ai e puta mai ngā raruraru atu. Ko ēnei rautaki e whai ana ki te whakapai ake i te mahi o te putea kōkōnga me te ārai i ngā raruraru atu.